Barack Obama on National Black HIV/AIDS Awareness Day

In commemoration of National Black HIV / AIDS Awareness Day, Senator Barack Obama sent a letter to the Black AIDS Institute in Los Angeles, which will be read at their ceremony this evening honoring numerous "Heroes in the Struggle" against this ongoing epidemic. Here are excerpts from the letter, which may also be found at http://my.barackobama.com/page/content/hqblog.

HIV/AIDS is appropriately described as a global challenge. Yet we know that the struggle against HIV/AIDS is not distant – our determination to take action must begin in our own communities.

A report released a few months ago on the state of HIV/AIDS in the District of Columbia makes this point painfully clear. Over 12,500 people living in the District are known to have HIV/AIDS. One in 20 residents has HIV, and 1 in 50 has AIDS – the highest rate of infection of any city in the country. The impact is particularly grave in the African American community, as more than 80 percent of HIV cases identified in the District between 2001 and 2006 were African Americans.

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Will Huckabee Honor His Word?

Advocacy Groups, Jeanne White-Ginder Still Waiting to Meet with Gov. Huckabee, but after two letters by the Human Rights Campaign and The AIDS Institute, the Huckabee campaign has not responded

WASHINGTON – One week after requesting to meet with Republican presidential candidate Governor Mike Huckabee, Jeanne White-Ginder, the mother of Ryan White, the Human Rights Campaign or The AIDS Institute, still have not heard from Gov. Huckabee or his campaign. The meeting was called in response to Gov. Huckabee’s 1992 remarks, that he refused to repudiate, when he said people living with HIV and AIDS should have been “isolated” even after it was determined the virus was not spread through casual contact. The morning after HRC and The AIDS Institute sent a letter to the Huckabee campaign requesting a meeting, the Governor said, “I would be very willing to meet with them.”

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Huckabee Says He Will Not 'Recant' 1992 Comments on HIV/AIDS

Kaiser Daily: Former Arkansas Gov. Mike Huckabee, who is running for the Republican presidential nomination, on Sunday said that he will not "recant" statements made in 1992 in which he called for people living with HIV/AIDS to be isolated from the general population, the AP/International Herald Tribune reports. Huckabee -- who made the statements in an Associated Press survey while running for Senate that year -- wrote that in order for the federal government to effectively address the spread of HIV, "we need to take steps that would isolate the carries of this plague." He added in the survey, "It is the first time in the history of civilization in which the carriers of a genuine plague have not been isolated from the general population, and in which this deadly disease for which there is no cure is being treated as a civil rights issue instead of the true health crisis it represents" (AP/International Herald Tribune, 12/9).

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New Yorkers Say Giuliani Showed "Zero Concern" for People Living with AIDS

From Kaiser Daily: NewYork City-based HIV/AIDS advocacy group Housing Works recently criticized former New York City Mayor Rudy Giuliani, who is running for the Republican presidential nomination, for his work on HIV/AIDS issues while in office, the Boston Globe reports. Giuliani "showed absolutely zero concern for people living with AIDS and HIV" during his eight years as mayor, Housing Works President Charles King said. He added, "We had to litigate against him from the beginning of his term to force his administration to follow New York law with regard to the provision of services and care to persons with AIDS and HIV."

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AIDS Advocates Launch AIDSvote.org

AIDSVote.org: The Web site -- launched by Housing Works, Gay Men's Health Crisis and the AIDS Foundation of Chicago -- is a nonpartisan voter and candidate education project. The site includes the results of a poll conducted among 16 presidential candidates about HIV/AIDS issues. It also includes GMHC's report about candidates' views on HIV/AIDS topics, as well as a chart that compares the candidates' HIV/AIDS-related voting record and positions. The site will track the candidates' positions up until the November 2008 election. Visit the site at www.aidsvote.org.

HIV/AIDS: Where the Candidates Stand

From Kaiser Daily: Most Democratic presidential candidates would support lifting a ban on federal funding for needle-exchange programs and replacing abstinence-only sex education with comprehensive HIV prevention programs if elected, according to a survey released Wednesday ahead of World AIDS Day, the AP/Sioux City Journal reports. The survey was conducted by AIDS Project of Central Iowa, Planned Parenthood of Greater Iowa and several other groups in the state. It included three questions and was sent to Democratic and Republican presidential candidates (AP/Sioux City Journal, 11/29).

The questions are:

• Do you support the Early Treatment for HIV Act (ETHA), which expands Medicaid for HIV-positive people who would otherwise need to become completely disabled in order to qualify for Medicaid-covered services?
• Do you support the replacement of funding for international and domestic "abstinence only" HIV prevention programs with scientifically based, comprehensive, age-appropriate sexuality education programs?
• Do you support access to sterile syringes, as a means of protecting public health, by lifting the ban on federal funding for syringe exchange? (Survey text, 11/28).

Among the Democratic candidates, Sen. Joe Biden (Del.), former Sen. John Edwards (N.C.), Sen. Barack Obama (Ill.) and New Mexico Gov. Bill Richardson met the deadline for the survey and all answered "yes" to the three questions. Answers from Sen. Hillary Rodham Clinton (N.Y.) were too late to be included in materials distributed by the coalition. However, her campaign "did respond 'yes' to the questions" after the deadline, Becky Johnson with the AIDS Project of Central Iowa said.

Former New York City Mayor Rudy Giuliani and former Massachusetts Gov. Mitt Romney, both of whom are running for the Republican presidential nomination, declined to answer the questionnaire. The remaining Republican and Democratic candidates did not respond, according to the AP/Journal.

The coalition in a statement said there has been a "lack of leadership at all levels that has allowed HIV to continue to spread through inaction and failed promises." The other agencies involved in the questionnaire include the American Red Cross Central Iowa Chapter, Lutheran Services in Iowa Refugee Cooperative, Urban Dreams, Community HIV/Hepatitis Advocates of Iowa Network and Creative Visions (AP/Sioux City Journal, 11/29).

The survey is available online.

Giuliani HIV/AIDS Advisor: Cause for Concern

From Kaiser: A recent opinion piece by Sally Pipes -- president and CEO of the Pacific Research Institute, a think tank that receives some funding from drug companies -- about intellectual property rights and compulsory licenses for patented antiretroviral drugs is "frightening," Andrew Green, a publishing fellow, writes in the American Prospect. If Pipes were "just running a think tank with pharmaceutical funding, it could be read as a shill piece and dismissed. But there's more to Pipes' biography: She is also a health care adviser to Rudy Giuliani," the former New York City mayor who is running for the Republican presidential nomination, Green adds (Green, American Prospect, 11/15).

In her opinion piece, Pipes says it was a "staggering display of cluelessness" for Rep. Tom Allen (D-Maine) and Sen. Sherrod Brown (D-Ohio) to sponsor a resolution that praises the Thai government for its decision to issue compulsory licenses to make generic versions of patented antiretroviral drugs. She adds that Thailand's actions "threaten to upset the economic incentives that allow Western firms to produce novel cures," saying, "Without patent protections, the drug industry as we know it would collapse, and development of new drugs would be significantly curtailed" (Kaiser Daily HIV/AIDS Report, 10/18).

Pipes opinion piece "can be read both as a signal that her role is expanding and as a preview of the HIV/AIDS policy she is encouraging Giuliani to adopt, specifically one without regard for the immediate need for as many cheap generic antiretrovirals as possible," Green writes. According to Green, while this is "cause for concern," the "real crisis" is that "Giuliani might actually be receptive to her arguments."

Giuliani has "expressed an interest in continuing and possibly expanding the President's Emergency Plan for AIDS Relief," but it is "apparent" he has "thought little about what that actually means," Green says. In addition, Giuliani has not described his HIV prevention strategy or whether he would expand treatment options, according to Green. "His lack of investment or concern about the issue leaves him vulnerable to insiders like Pipes, whose business-first agendas are prepackaged," Green writes. He adds that it is "not outlandish to think that [Giuliani] might make AIDS relief contingent on buying brand-name antiretrovirals" or "levy trade restrictions and financial penalties on countries, like Thailand, that determine the best way to immediately reach the most HIV/AIDS patients is to produce their own antiretrovirals."

Green suggests that all presidential candidates "study the AIDS policy Democrat John Edwards has introduced," adding that the "first move Giuliani should make, though, is to send Pipes back to the sideline and hire some advisers whose values aren't predicated on profit margins" (American Prospect, 11/15).

Gay Republican & HIV/AIDS Advocate Joins Rudy Giuliani Team

The Rudy Guiliani campaign announced on Friday that openly gay Republican Party activist Carl Schmid has joined the Guiliani campaign as a co-chair of the campaign's DC leadership team.

Carl Schmid stated “As Mayor of New York, Rudy Giuliani cut taxes, cut crime, and got hundreds of thousands of people off the welfare rolls and back to work all while working with a heavily Democratic City Council. That’s the kind of strong leadership we need in the White House.”

Schmid, a 2004 delegate to the Republican National Convention, has played an active role in the DC Republican Party, which is not a significant part of local DC politics. When openly gay city council member David Catania left the Republican Party over the federal marriage amendment debate, he left the Party with only one remaining Republican DC city council member.

Schmid currently serves as the Director of Federal Affairs for the AIDS Institute, a national public policy organization.

The Barack Obama Plan to Fight HIV/AIDS

The following is a reprint of the Barack Obama Plant to Fight HIV/AIDS, released in October, 2007

Barack Obama, Fighthing HIV/AIDS Worldwide

“We are all sick because of AIDS - and we are all tested by this crisis. It is a test not only of our willingness to respond, but of our ability to look past the artificial divisions and debates that have often shaped that response. When you go to places like Africa and you see this problem up close, you realize that it's not a question of either treatment or prevention – or even what kind of prevention – it is all of the above. It is not an issue of either science or values – it is both. Yes, there must be more money spent on this disease. But there must also be a change in hearts and minds, in cultures and attitudes. Neither philanthropist nor scientist, neither government nor church, can solve this problem on their own - AIDS must be an all-hands-on-deck
effort.” -Barack Obama, World AIDS Day Speech, Lake Forest, CA, 12/1/06

BARACK OBAMA’S PLAN TO COMBAT GLOBAL HIV/AIDS

There are 40 million people across the planet infected with HIV/AIDS, including more than 1 million people in the U.S., with nearly 8,000 people dying every day of AIDS. Barack Obama believes that we must do more to fight the global HIV/AIDS pandemic, as well as malaria and tuberculosis. In 2006, Obama traveled to Kenya and, along with his wife Michelle, took an HIV/AIDS test to encourage African men and women to be tested for the disease. Obama believes in working across party lines to combat this epidemic and joined Senator Sam Brownback (R-KS) at a large California evangelical church to promote greater investment in the global AIDS battle. As president, Obama will continue to be a global leader in the fight against AIDS.

HIV/AIDS IN AMERICA

Develop a National HIV/AIDS Strategy: Obama has pledged that, in the first year of his presidency, he will develop and begin to implement a comprehensive national HIV/AIDS strategy that includes all federal agencies. The strategy will be designed to reduce HIV infections, increase access to care, and reduce HIV-related health disparities. His strategy will include measurable goals, timelines, and accountability mechanisms.

Fix the Nation’s Health Care System: 47 million Americans are uninsured in this country. Barack Obama is committed to signing universal health care legislation by the end of his first term in office that ensures all Americans have high-quality, affordable health care coverage. Obama’s plan will save a typical American family up to $2,500 every year on medical expenditures by providing affordable, comprehensive and portable health coverage for every American; modernizing the U.S. health care system to contain spiraling health care costs and improve the quality of patient care; and promoting prevention and strengthening public health to prevent disease and protect against natural and man-made disasters. His health plan will ensure that people living with HIV have access to lifesaving treatment and care.

Fight Disparities: HIV has hit some communities harder than others. For example, while African-Americans make up 13 percent of the U.S. population, they make up 49 percent of new HIV/AIDS cases. AIDS is the leading cause of death in African-American women aged 25-34, and the third leading cause of death in African-American men in the same age group. In 2005, 64 percent of women living with HIV/AIDS were black. Obama will tackle the root causes of health disparities by addressing differences in access to health coverage and promoting prevention and public health, both of which play a major role in addressing disparities. He will also challenge the medical system to eliminate inequities in health care through quality measurement and reporting, implementation of effective interventions such as patient navigation programs and diversification of the health workforce.

Improve Quality of Life for Those Living with HIV/AIDS: Obama is a strong supporter of the Ryan White Care Act (RWCA), which provides critical access to life-saving treatment and care for over half a million lowincome Americans with HIV/AIDS. The RWCA is one of the largest sources of federal funds for primary health care and support services for patients with HIV/AIDS. The bill was named after Ryan White, an Indiana teenager whose courageous struggle with HIV/AIDS helped educate the nation. Throughout the reauthorization process of the RWCA, Obama worked closely with RWCA service providers, the Chicago Department ofPublic Health, and the Illinois Department of Public Health to analyze and find ways to improve the program for Illinois and for the nation. Obama will continue to protect the multifaceted care upon which RWCA beneficiaries depend.

Assure Adequate and Safe Housing for Those Living With HIV: Obama supports increased funding for Housing Opportunities for People with AIDS (HOPWA) and other pertinent housing programs. These programs aim to assure that adequate and safe housing is available for all disabled and low-income people with HIV/AIDS in the U.S.

Expand Funding for Research: Barack Obama will expand funding for research, especially for prevention options including a vaccine and microbicides. Microbicides are a class of products currently under development that women apply topically to prevent transmission of HIV and other infections. Obama led an effort with Senator Olympia Snowe (R-ME) and others to introduce the Microbicide Development Act, which will accelerate the development of products that empower women in the battle against AIDS. In the United States, the percentage of women diagnosed with AIDS has quadrupled over the last 20 years. Today, women account for more than one quarter of all new HIV/AIDS diagnoses.

Promote AIDS Prevention: In addition to assuring access to treatment, Obama believes we need to increase the focus on preventing new infections. We cannot keep pace with treatment needs if we don’t also focus on prevention. This means pursuing a strategy that relies on sound science and builds on what works. Obama supports comprehensive sex education that is age-appropriate. He supports increasing federal appropriations for science-based HIV prevention programs. Obama supports the JUSTICE Act, which would prevent transmission of HIV within the incarcerated population. He also supports legislation that would lift the ban on federal funding for needle exchange as a strategy to reduce HIV transmission among injection drug users and their partners and children.

Bring Medicaid Coverage to Low-Income, HIV-Positive Americans: Obama is a co-sponsor of the Early Treatment of HIV Act, which would provide Medicaid coverage to more low-income, HIV-positive Americans.

GLOBAL HIV/AIDS

Reauthorize and Revise PEPFAR: The U.S. has dramatically increased funding for global HIV and AIDS programs through the President’s Emergency Program for AIDS Relief (PEPFAR), but the program has faced controversy. Obama believes that our first priority should be to reauthorize PEPFAR when it expires in 2008 and rewrite much of the bill to allow best practices – not ideology – to drive funding for HIV/AIDS programs.

In addition, Obama supports adding an additional $1 billion a year in new money over the next five years to strengthen and expand the program to Southeast Asia, India, and Eastern Europe, where the pandemic is expanding.

Increase Investments for HIV Treatment: Barack Obama is committed to increasing U.S. investments in the capacity building needed to ensure that poor countries are able to develop the health care infrastructure necessary to prevent and treat HIV/AIDS, promote basic health care, reduce the spread of malaria and TB, and prevent and, if necessary, contain the spread of avian flu and other pandemics.

Increase Contribution to the Global Fund: Obama supports increasing U.S. contributions to the Global Fund for AIDS, malaria, and TB so that our assistance is coordinated with aid provided by other governments and private donors and so that the burden on poor countries is reduced.

Provide Access Through Trade: Barack Obama believes that people in developing countries living with HIV/AIDS should have access to safe, affordable generic drugs to treat HIV/AIDS. He will break the stranglehold that a few big drug and insurance companies have on these life-saving drugs. Obama supports the rights of sovereign nations to access quality-assured, low-cost generic medication to meet their pressing public health needs under the WTO’s Declaration on Trade Related Aspects of Intellectual Property Rights (TRIPS). He also supports the adoption of humanitarian licensing policies that ensure medications developed with U.S. taxpayer dollars are available off-patent in developing countries.

Achieve the Millennium Development Goals: As president, Barack Obama will double U.S. foreign assistance from $25 billion per year to $50 billion per year to ensure the U.S. does its share to meet the Millennium Development Goals, including halving the number of people who die of tuberculosis and/or are affected by malaria. In 2005, Obama cosponsored the International Cooperation to Meet the Millennium Development Goals Act. Barack Obama will target this new spending toward strategic goals, including helping the world’s weakest states to build healthy and educated communities, reduce poverty, develop markets, and generate wealth. He will also help weak states to fight terrorism, halt the spread of deadly weapons, and build the health care infrastructure needed to prevent and treat HIV/AIDS as well as detect and contain outbreaks of avian influenza. Obama will dedicate as much funding to HIV/AIDS as possible – without cutting into other critical foreign assistance programs – to ensure a comprehensive fight against this global pandemic.

Reduce Debt of Developing Nations: Developing nations are amassing tremendous amounts of foreign debt that limit their economic development and make investments in public health, education, and infrastructure extremely difficult. Debt in Sub-Saharan Africa stands at $235 billion, 44 percent of the region’s gross domestic product and an increase of 33 percent since 1990. Obama would work with other developed nations and multilateral institutions to cancel remaining onerous debt while pushing reforms to keep developing nations from slipping into fiscal ruin. Obama also would better coordinate trade and development policies to use the full range of America’s economic power to help developing nations reap the benefits of the global trading system. Obama cosponsored the Multilateral Debt Relief Act of 2005 to provide multilateral debt relief to Heavily Indebted Poor Countries.

POZ Magazine Article on Presidential Candidates and HIV/AIDS

Nicole Joseph wrote the following piece for POZ Magazine

Will the 2008 U.S. presidential hopefuls commit to fighting HIV/AIDS? (And how you can encourage them to care.)

On September 18, former Senator John Edwards became the first 2008 presidential candidate to announce a plan to fight HIV/AIDS in the United States and abroad. Activists and people living with HIV applauded Edwards's plan—which would provide universal access to health care for HIV-positive Americans by 2012. It would also create a national strategy to fight AIDS that offers all people equal access to care and bases prevention efforts on science rather than political ideology. The HIV community has long awaited any sign of support from those vying to become this country's future leader. "We're hoping that all the candidates put out as detailed a plan as Edwards has," says Christine Campbell, director of national advocacy and organizing at Housing Works, a New York-based AIDS service group.

In an election year when national health care is a front-burner issue, one would think that addressing the AIDS pandemic would be a priority on every candidate's platform. But the topic has been noticeably absent from initial debates and public forums. Even though Senator Hillary Clinton said in June that “If HIV/AIDS were the leading cause of death of white women between the ages of 25 and 34, there would be an outraged outcry in this country,” her recently released health care plan made no specific provisions for addressing the concerns of HIV-positive black women, let alone the rest of the HIV community. Rebecca Haag, executive director of AIDS Action, says, "[With] more than 1.7 million HIV infections [to date] and over half a million deaths in the domestic AIDS epidemic, our government still does not have a comprehensive plan to respond effectively." The virus continues to infect tens of thousands of new people a year and has 1.2 million in its grip in the U.S. alone.

What made Edwards speak out about AIDS? Was it intense political pressure delivered in recent weeks by watchdog groups who highlighted each presidential candidate’s commitment, or lack thereof, to the AIDS fight? Was it the call to action (nationalaidsstrategy.org) delivered to all presidential hopefuls by more than 100 organizations fighting HIV just days before Edwards released his plan? Was it the questionnaire posed to each candidate by the Campaign to End AIDS (C2EA)? Or was it Larry Frampton, a 46-year-old HIV-positive man, who traveled to one of Edwards’s campaign stops in Iowa?

Frampton waited hours to grab a chance to speak with the senator, eventually making his way to the front of the crowd and asking Edwards when he planned to post his domestic and global AIDS policy. Frampton then told Edwards that he'd been living with HIV for 18 years. Senator Edwards gave Frampton a hug and said, "We have a lot of work to do."

Frampton’s move, known as “bird-dogging” (which he describes as "getting people organized to ask the candidates the same question over and over again until they actually answer"), is one thing HIV-positive people can do to voice their concerns to the candidates. And, depending on the candidate’s response, sometimes the influence moves in both directions: Frampton says that his encounter with Edwards has him "definitely leaning" toward voting for Edwards.

“Every time I have bird-dogged and every time I have told a candidate that I'm a person living with HIV, they at least listen, and most of the time, they're more apt to listen to someone who's got a story to tell," says Frampton. "And so as a person living with HIV, you've got an opportunity to get out there and tell your story, and maybe get them to do some action on some things."

Across the country other members of the AIDS community are becoming more vocal about their expectations of the candidates. In Iowa, there is a statewide group—Iowans for AIDS Action—working together to encourage the candidates to adopt plans to fight the epidemic in the U.S. and around the world. The network of people living with HIV, religious leaders, researchers, medical and undergraduate students and AIDS service providers are living proof of the notion that ordinary people can do extraordinary things. “It doesn’t take a specially trained activist or political junkie [to make a difference],” says Michael Kink, legislative council for Housing Works. “It’s on all of us to make sure that the presidential candidates address [HIV/AIDS] clearly and in a straightforward manner.”

Whether the pressure on candidates comes from one individual, like Frampton, or from a larger, united perspective, one thing is evident: AIDS activists are not content to stand quietly by as the other candidates ignore their issues. And the broad, sweeping plans of the past aren't welcome in the 2008 election. They want specifics. Democratic presidential hopeful Senator Hillary Clinton (D-NY) recently announced her recommendation for a health plan that would require every U.S. citizen to have health insurance. While this would inevitably benefit HIV-positive people, members of the AIDS community are still waiting to hear her answers to the tougher questions. For example: How much funding will be allocated to prevent and treat HIV and when can we expect to see it? "General health care plans don't necessarily address the specifics of what's needed to actually end the epidemic," says Housing Works' Campbell. "Anyone who presents a plan needs to be able to provide specific details."

A good way to educate yourself about key issues affecting the HIV community is to review the points put forth by AIDS Action’s call to action for a national strategy to fight AIDS (nationalaidsstrategy.org). Even if you don’t plan to try to bird-dog yourself, you can lend your support by signing the call to action demanding that candidates commit to a national AIDS strategy.

The Campaign to End AIDS (C2EA) AIDSVote.com site examines the candidates' stances on HIV/AIDS prevention, treatment and care. It is another great place to bring yourself up to speed so that you can be prepared to speak with candidates, write to politicians or just know who to vote for. AIDSvote organizers’ recent questionnaire surveyed the candidates' positions on a variety of issues. The topics ranged from "abstinence only" prevention programs to the Early Treatment for HIV Act (ETHA), a domestic initiative that would allow HIV-positive people who are not disabled to access Medicaid. So far, only Senator Edwards, Governor Bill Richardson (D-N. M.) and Senator Barack Obama (D-Ill.) have responded to the questionnaire. "We've got a team of C2EA activists fanning out to call the campaigns and get in some more questionnaires," says Kink. "It’s important to reach out to all the candidates in both parties."

Reaching the candidates, however, means more than just sending petitions and questionnaires. It takes a personal touch, a Larry Frampton, to move a person to action. That's why AIDSVote.com provides a detailed guide “Bird-dogging 101,” to help you make a difference. With plans to launch an updated site soon, AIDSvote.com will also offer a calendar containing information on the candidates' campaign stops so that members of the HIV/AIDS community can meet them—face to face—at the front lines.

If you’re not able to intersect candidates on the presidential campaign trail soon, you could plan a trip for next spring, a critical time in the ’08 presidential race, to attend AIDSWatch, sponsored by the National Association of People With AIDS. The annual event offers another direct avenue for lobbying those who make policy. AIDSWatch is scheduled for April 2008 and will bring hundreds of AIDS advocates from across the country to Washington, DC, to discuss AIDS funding and programming with elected officials.

Christine Campbell says that the community shouldn’t wait around for the candidates to speak out about the epidemic, and suggests that they should educate themselves about the issues and take a proactive approach to politics. "Write [to politicians], go to their events, and when there's an opportunity to specifically ask them questions, ask them to address specific issues, like whether they support lifting the ban on syringe-exchange programs; if they're willing to commit $50 billion in resources to HIV and AIDS; if they will develop a national strategy to actually end AIDS in the United States; and if they'll support their health care workers abroad," she says. "If we can educate people [in the HIV-positive community] about the specific policy points, when they go to [political] events, they can ask [politicians] directly 'will you do this'?"

And maybe some other candidates will finally respond – to your face, to your story and to your inescapable reality of living with HIV in a country whose future leaders seem reluctant to face the epidemic they will inherit.

An HIV/AIDS Research Agenda for Black Gay Men

The statistics on HIV and black gay men are sobering. A 2005 CDC study, conducted in 5 large US cities, found that HIV prevalence among black MSM (46%) was more than twice that among white MSM (21%). (citation). It's hard to imagine that in these cities almost half of all black gay men are living with HIV.

When it comes to HIV prevention, what works for white gay men does not necessarily work for black gay men. There's still a lot we need to understand about what is fueling these high HIV rates and what we should be doing about it.

Fortunately, the National Black Gay Men's Advocacy Coalition (NBGMAC), which formed shortly after this data was released, has been working hard to improve the health and well-being of black gay men through advocacy that is focused on research, policy, education and training. NBGMAC is housed in Washington, DC at the offices of Us Helping Us.

NBGMAC will continue to their work at the October 24th meeting of the NIH Office of AIDS Research Advisory Council (OAR). The OAR meeting will focus on challenges of HIV infection in racial and ethnic communities in the United States.

Dr. Leo Wilton will present a summary of the Black Gay Research Agenda for the NBGMAC and the Black Gay Research Group. The meeting will be held at 5635 Fishers Lane, Rockville, MD 20852 in the Terrace Level Conference Center.

It's an important step forward in advocating for the HIV research needs of black gay men, and you can be there. The meeting is open to the public. Time will be allowed for public comment at the end of the meeting. If you can attend and would like to attend, please contact Christina Brackna at (301) 402-8655 for additional information .

Ask Hillary Clinton About HIV/AIDS: Online Health Care Forum

On Thursday, October 18, 2007 at 2:00 p.m. ET, a discussion with Senator Hillary Rodham Clinton (D-N.Y.) will be webcast live during the next “Health Care 2008: Presidential Candidate Forum.”

John Edwards was among the first candidates to be part of these web forums. He used his appearance as an opportunity to launch a detailed and comprehensive plan to fight HIV/AIDS at home and abroad.

Let's make sure Hillary Clinton answers our questions about her plans to fight HIV/AIDS. Viewers are welcome to submit questions for the presidential candidates. Questions will be presented to the panel of journalists for consideration. Click here to submit a question about HIV/AIDS to Hillary Clinton for the live forum.

The “Health Care 2008: Presidential Candidate Forums” will allow each Presidential candidate to discuss in detail his or her vision about health reform and the uninsured with a panel of leading health journalists from “The NewsHour With Jim Lehrer,” ABC News, National Public Radio, and The Wall Street Journal. The Forums are being organized by Families USA and the Federation of American Hospitals, produced by MacNeil-Lehrer Productions and hosted by the Kaiser Family Foundation in its Barbara Jordan Conference Center. The Foundation’s health news and information site, kaisernetwork.org, will provide a live webcast of each forum. Shortly after the live webcast, an archived webcast, transcript and podcast will be available.

For a list of upcoming forums and to watch archived webcasts of previous forums, visit presidentialforums.health08.org.

Jenna Bush Parts Ways with Bush Administration on HIV/AIDS

In an interview with Newsweek magazine, Jenna Bush states that after spending time in working with people living with HIV, she oppposes the Bush Administration domestic policy of abstinence-only-until-marriage sex education. Jenna says she supports a more comprehensive "ABC" approach (abstain, be faithful, use a condom).

There is no scientific evidence that abstinence-only-until-marriage programs, those that censor information about contraception, are effective. In fact, Congress funded a 10-year study of these programs which shows they do not work. Over the years Congress has wasted 1.5 billion dollars of taxpayer money on these programs that have no measurable effect.

Despite the overwhelming evidence, Congress recently funded yet another extension of abstinence-only-until-marriage programs.

read the newsweek article here

The John Edwards HIV/AIDS Plan

Reprinted below is the John Edwards plan to fight HIV/AIDS here in the United States as well as around the world. It's a bold plan that I believe really sets him apart from the other candidates. Once again, I'm very proud to be supporting John Edwards for President. To download this document, click here

ENDING THE HIV/AIDS EPIDEMIC

“The loss from HIV/AIDS is almost beyond understanding. This is a fight for people’s lives. Wehave a moral imperative to do much more, and do it much better.”– John Edwards

HIV is a preventable disease. But an estimated 40,000 new HIV cases were reported in the U.S. lastyear, and 4.3 million were reported around the world. HIV/AIDS is a treatable disease. Yet 17,000Americans and 3 million people globally died from it in 2005. [CDC, 2007; WHO, 2006]

John Edwards was the first presidential candidate – Democratic or Republican – to take on the biginsurance and drug companies and propose a plan for quality, affordable health care for every man,woman and child in America that offers everyone the option of a public plan. Today, John Edwardsbuilds on his plan for true universal health care with specific proposals to lead the fight againstHIV/AIDS at home and around the world. He will include a comprehensive new national strategy tofight HIV/AIDS, including:

• Guaranteeing health insurance to every American – including HIV/AIDS patients -- the care theyneed when they need it and expanding Medicaid to cover HIV-positive individuals before theyreach later stages of disabilities and AIDS.
• Fighting the disease in the African American and Latino communities, where the harm is nowgreatest.
• Calling for universal access to HIV/AIDS medicine across the world, investing $50 billion overfive years to meet that goal.

FIGHTING HIV/AIDS ATHOME

HIV/AIDS is still a crisis in America, particularly in African-American and Latino communities.The number of new HIV infections in the U.S. has not fallen in 15 years. As president, Edwards willhelp end the HIV/AIDS epidemic in America. [CDC, 2005]

Guaranteeing Treatment for Everyone with True Universal Health Care by 2012: People withHIV/AIDS who don’t have health insurance or who have inadequate insurance are significantly morelikely to die from the disease. That’s the tragedy of the two health care systems in this country today– one for people who can afford the very best care and one for everyone else. True universal healthcare must be the foundation for a national HIV/AIDS strategy.

Edwards’ plan will ensure everyperson in America living with HIV/AIDS gets the care they need, when they need it. His plan willalso transform chronic care with a new patient-centered “medical home” approach where a primarycare physician will make sure patients are getting effective treatment from a coordinated team,including palliative care. [Bhattacharya, 2003]

Edwards supports the Early Treatment for HIV Act which will expand Medicaid to cover HIV-positive individuals in every state before they reach later stages of disability and AIDS. Currently, inmost states, individuals must receive an AIDS diagnosis to receive services under Medicaid even though research shows that the sooner individuals living with HIV receive treatment the better the outcomes. [Porco et al., 2004]

Creating a National HIV/AIDS Strategy: In 2001, the CDC set a national goal of reducing the annual number of new infections in half by 2005, but the actual number of infections has barelybudged. A 1998 presidential initiative set a goal of eliminating racial disparities in HIV/AIDS by2010, but disparities are as bad today as they were then. Our disappointments can be explained inpart by the failure to create a national strategy, backed by necessary funding and with clear and bold goals, specific action steps, real accountability and broad participation and buy-in from stakeholders both inside and outside of government. As president, Edwards will develop a National HIV/AIDS Strategy through an honest, comprehensive and fast-tracked process that involves stakeholders fromthe public and nonprofit sectors. The National Strategy will coordinate the various agencies withinand outside of the Department of Health and Human Services (HHS) that affect HIV/AIDS policy.He will hold his HHS Secretary accountable for issuing an annual report on HIV/AIDS that charts progress towards our national goals, and he will appoint a strong director of the White House officeof AIDS Policy to keep these issues visible at the highest levels of government. [CDC, 1999, 2001, 2007;HHS, 1998]

Focusing on Disparities: About two-thirds of all new HIV/AIDS cases are diagnosed in African Americans and Latinos. African Americans are infected at nearly 10 times the rate, and Latinos atmore than three times the rate, of white Americans. A 2005 study of African-American men whohave sex with men in selected cities found that almost half are infected with HIV, and 67 percent donot know they have the disease. Latina women are six times more likely than white women to have HIV/AIDS. Any serious effort to end the HIV/AIDS epidemic must begin in the African-American and Latino communities, including among the incarcerated population, and address their prevention and treatment needs. We must also continue to work intensively with important overlapping groups like gay men. [CDC, 2007; KFF, 2007]

Supporting Ryan White CARE Act Programs and HOPWA: Enacting true universal health carewill ensure patients have access to care, but fully funding the Ryan White CARE Act will remainessential to ensure that culturally-competent care is available for the special needs of people livingwith HIV/AIDS. These programs include outpatient HIV early intervention services, support serviceslike transportation, case management, substance abuse and mental health treatment, nutrition, family-centered care for children, access to clinical trials and delivery to hard-to-reach populations. Maintaining delivery of outreach and treatment services to the LGBT community, for example, isdependent on these programs. Edwards will also put an end to waiting lines for HIV drugs -- forexample, more than 300 people with HIV/AIDS are on a waiting list for medication in South Carolina– and increase funds for the Housing for People with AIDS (HOPWA) programs, only federal program that provides comprehensive, community-based housing for people with HIV/AIDS.[NASTAD, 2007]

Preventing HIV/AIDS with Scientifically-Proven Strategies, Not Political Ideology: The CDChas identified the three most reliable ways to prevent HIV/AIDS infections. Yet the Bush administration focuses on only one of them – abstinence. As president, Edwards will promotes all reliable prevention strategies, including comprehensive, age-appropriate sex education to ensure young people learn all the facts about preventing HIV/AIDS and harm-reduction programs thatprovide high-risk individuals with access to clean syringes. He will lift the ban on federal funding for needle exchange initiatives. In addition, Edwards will support community and public education that encourages testing.[CDC, Undated; Bush, 2005]

Strengthening America’s Research Agenda: It used to be that more than four out of 10 requestsfor National Institutes of Health grants were approved. Now less than two out of 10 are approved,and existing grants are being cut back. One of those rejected requests might have led to abreakthrough on HIV/AIDS treatments. Edwards supports substantial increases in funding for the National Science Foundation and the National Institutes of Health, as well as measures to ensuretransparency in funding decisions, accountability for results and aligning research with outcomes.[NIH, 2007]

FIGHTING HIV/AIDS AROUND THEWORLD

While the Bush administration initially increased funding for the global fight against HIV/AIDS,funding has now flat-lined. We must do more, and do it better. The fight against HIV/AIDS is afight for people’s lives, but President Bush’s way has us fighting with one hand tied behind our back.One-third of prevention funding goes to abstinence-only education that has been shown not to work.The U.S. has also refused to fund medicine approved by the World Health Organization, even thoughrequiring FDA approval means the U.S. sometimes pays up to three times more for drugs. Thismeans fewer people receive treatment, as the profits of drug companies are protected.[Goldberg, 2007;Carpenter, 2007; Love, 2007]

To restore our moral standing in the world, Edwards believes that America must be a global leader inthe fight against poverty and disease. Fighting global poverty and addressing global health crises is amoral imperative, but it is also a security issue. As president, John Edwards will fundamentally transform America’s approach to the world and bring high-level attention to the fight against global HIV/AIDS by:

Providing Universal Access to Treatment Globally: A $4 dose of medicine can help prevent amother from transmitting HIV to her newborn at childbirth. In developing countries, HIV/AIDS medications cost as little as $140 per patient a year – but, by mid-2006, fewer than one in four people who needed it had access to treatment. As part of a comprehensive plan to also fight TB and malaria around the world, Edwards has set an ambitious goal of providing universal access to preventive and treatment drugs for the three “killer diseases” by 2010, investing $50 billion over five years to meet that goal. This includes fulfilling our moral responsibility to help strengthen public health systems and health care workforces in developing nations. While we can make current spending go further bybeing more aggressive with the pharmaceutical industry, Edwards will ensure the U.S. contributes its traditional fair share toward the Global Fund to Fight AIDS, Tuberculosis and Malaria, which hasproven itself as an innovative, effective model to fight disease.[UNICEF, 2005; U.N. Millennium Project,2005; WHO, 2007]

Using Trade Policy to Save Lives: Edwards will enact trade policies that save lives, rather than protect the profits of big drug companies. He will ensure that U.S. bilateral trade agreements respect the rights of countries to access and use generic medicines consistent with the Doha Declaration onthe TRIPS Agreement and Public Health. We must expand poor countries’ right to safe, affordable generic drugs to treat HIV/AIDS. The increased distribution of generic drugs has been a step in theright direction. However, as millions of people develop resistance to these drugs, we must beprepared to facilitate access to more effective medications. As president, Edwards will supportefforts to increase the importation and production in developing countries of second-line and pediatric drugs. He will also re-assess the Bush policy that forces us to pay higher prices for drugsthat have been approved by the FDA, when less expensive drugs have already been approved by theWHO and their safety is reliable. WHO safety standards are relied upon by leading international organizations, including the Global Fund.

Expanding the Role of Multilateral Organizations: America’s reluctance to engage the world through multilateral organizations under President Bush has hurt our ability to combat poverty and fight HIV/AIDS. Edwards believes multilateral institutions like the Global Fund can be far moreefficient at using taxpayer dollars than bilateral agencies like the President’s Emergency Plan forAIDS Relief, with far lower overheads. As president, Edwards will support efforts to increase the role of multilateral institutions like the Global Fund in distributing funds to fight HIV/AIDS, ratherthan just bilateral aid agencies and their contractors.

Rescinding the Global Gag Rule: In 2001, President Bush signed an executive order barring U.S. family planning aid to foreign non-profits that offer abortions, except in the case of a threat to awoman’s life or incest, that provide abortion counseling or that lobby to make abortion legal. This“gag rule” stifles free speech and forces non-profits to choose between vital U.S. funds and providingessential health services. The “gag rule” has hurt efforts to ensure access to contraception methods that can prevent the spread of HIV. Edwards will overturn this order and restore support for effectivefamily planning.

Creating a Cabinet-Level Post on Global Poverty: Despite its importance to our national security and international standing, America still lacks a comprehensive strategy to fight global poverty. Ourforeign aid programs are fractured and uncoordinated, delivered by over 50 separate government offices. As a result, bureaucrats fight over overlapping jurisdictions and resources are not tied to anygovernment-wide priorities. As president, Edwards will create a new cabinet-level position that will coordinate global development policies across the federal government and be a voice for the fightagainst global HIV/AIDS.

Promoting Women’s Rights and Universal Education: Strengthening the rights of women and increasing education will help change social roles that underlie the spread of HIV in many countries. Reducing violence against women and expanding education are both proven means of preventing HIV. Edwards will aggressively support political and economic rights for women where they do notexist and support efforts to reduce violence against women and children. He will also lead the world toward a primary education for every child, endorsing the goal of achieving universal basic educationby 2015. As part of a significant increase in overall funding for poverty-focused development assistance, Edwards will lead a worldwide effort to raise $10 billion to fund this cause.[UNAIDS,2005; World Bank, 2002]

Supporting Debt Cancellation: Debt owed to Western lenders prevents many poor countries frommaking the kinds of investments in health and education that can help prevent the spread of HIV andother diseases. Edwards will take the next step on debt relief by eliminating bilateral debt owed tothe United States by the world’s poorest countries, freeing up resources for these countries to invest in health and education. He will also call on other lender nations to follow our lead.

Next President Must End AIDS in the United States

WASHINGTON, Sep. 17, 2007 -- More than 100 organizations from across the country are calling for the next President to commit to ending the AIDS epidemic in America. They have requested that every Presidential candidate commit to developing a results-oriented national AIDS strategy designed to significantly reduce HIV infection rates, ensure access to care and treatment for those who are infected and eliminate racial disparities. The groups issued a “Call to Action” that has been presented to all Presidential candidates. The Call to Action and a list of supporters is available at www.nationalaidsstrategy.org.

“More than 1.7 million HIV infections and over half a million deaths into the domestic AIDS epidemic, our government still does not have a comprehensive plan to respond effectively,” said Rebecca Haag, Executive Director of AIDS Action. “The wealthiest nation in the world is failing its own people in responding to the AIDS epidemic at home. Our country must develop what it asks of other nations it supports in combating AIDS: a comprehensive national strategy to achieve improved and more equitable results.”

The Call to Action asserts that the lack of an outcome-based response to HIV domestically has lead to unacceptable results: half of people with HIV are not in care, there is a new infection every 13 minutes, infection rates have not fallen in more than 15 years, and dramatic racial disparities are becoming even more pronounced.

“America’s response to AIDS is not serving those most in need,” said Phill Wilson, Executive Director of the Black AIDS Institute. “We cannot make significant progress on national AIDS statistics unless government and community efforts better respond to the needs of Black America, and we need a comprehensive national strategy to get there.”

“We need a plan, not a patchwork,” said Julie Davids, Executive Director of Community HIV/AIDS Mobilization Project (CHAMP). “We need to move from a response to AIDS that is often bureaucratic to one that is evidence-based and outcomes-oriented; a response that reaches everyone at risk of infection or needing care.”

The Call to Action statement states that to be successful a national AIDS strategy should:

• Improve prevention and treatment outcomes through reliance on evidence-based programming
• Set ambitious and credible prevention and treatment targets and require annual reporting on progress towards goals
• Identify clear priorities for action across federal agencies and assign responsibilities and timelines for follow-through
• Include, as a primary focus, the prevention and treatment needs of African Americans, other communities of color, gay men of all races, and other groups at elevated risk
• Address social factors that increase vulnerability to infection
• Promote a strengthened HIV prevention and treatment research effort
• 
  Involve many sectors in developing the national strategy: government, business, community, civil rights organizations, faith based groups, researchers, and people living with HIV/AIDS

Mark Cloutier, the Executive Director of the San Francisco AIDS Foundation notes the “enormous human and economic costs resulting from the lack of a focused response to HIV/AIDS domestically. Without action there will be more unnecessary deaths, billions of dollars in increased health care expenses and a significant loss of productivity in our economy. A more effective national response to HIV/AIDS is a critical part of building a stronger and more responsive health care system for all Americans.”

Pernessa Seele, founder and CEO of The Balm In Gilead, said, "The legacy of the next Executive Office resident will be determined by what she or he says and does to move communities and this country from where we are - in crisis because of HIV/AIDS - to where we want and need to be - a world leader in the advancement of research, testing, treatment and eradication of HIV/AIDS at home and abroad."

"It is unconscionable that the United States, which has all the necessary resources to end the AIDS epidemic, does not have a comprehensive plan to stop AIDS deaths, reduce infections, and get people the medical care that they need," said Robert Bank, Chief Operating Officer of Gay Men's Health Crisis, (GMHC) in New York.

“We want the American public to know that the knowledge and strategies needed to end the nation’s HIV/AIDS crisis already exist,” said David Ernesto Munar, vice president at the AIDS Foundation of Chicago. “Strong national leadership can change the course of the epidemic.”

AIDS advocates and leaders all over the country are currently contacting their colleagues in civil rights, social justice, and health care organizations urging their endorsement and support.

2008 Presidential Candidates & Comprehensive Sex Education

James Wagoner, Executive Director of Advocates for Youth, offers this analysis on RH Reality Check.

When it comes to abstinence-only-until-marriage, the Republican presidential candidates are head-in-the-sand true believers, convoluted converts or, if you're Rudy Giuliani, you're silent -- very silent -- on the issue.

Most of the Democrats expressed perfunctory support for comprehensive sex education when asked directly on a candidate questionnaire (thank you, Human Rights Campaign!), but remain largely silent on the campaign trail. Nor do they exhibit any leadership on the issue in Congress.

On the other hand, the majority of the Republicans can't stop talking about the issue. The hardcore supporters of failed abstinence-only-until-marriage programs include Sam Brownback, Mike Huckabee, and Duncan Hunter. To paraphrase Dorothy Parker, the candidates run the gamut of persuasive arguments for abstinence-only from A to B.

Sam Brownback is "denialist in chief" with an entire page of his website devoted to the awesome wonders of abstinence-only-until-marriage education. He even has the temerity to use the word "data" when talking about these programs. Gee, Sam, what "data" is this? Mathematica's multi-year evaluation of abstinence-only programs mandated by Congress that demonstrated they don't work? Or maybe the 2000 Institute of Medicine report that stated the programs should be abolished because they represent "poor fiscal and public health policy"?

Mike Huckabee grew up in a society where the "Gideons gave out Bibles ... rather than school nurses giving our condoms." He does not believe in teaching "about sex or contraception in public schools." Then again, Mike probably believes that conception begins at flirtation.

Duncan Hunter, "concerned over the breakdown of values" in America, wants "equal emphasis" on abstinence, since he believes the government is overly focused on educating children on the "dangers of STDs and contraception." I wonder what government he is talking about -- Lithuania?

Then there are the convoluted converts like Mitt Romney and John McCain. Romney, during his 2002 campaign, filled out a questionnaire stating that he supported comprehensive sex education. Since that time, along with his deep commitment to his presidential ambitions, he's discovered an equally deep commitment to abstinence-only-until-marriage education. Ralph Waldo Emerson talked about consistency being the "hobgoblin of little minds." Emerson meant it as a compliment for creative thinkers. I don't think Mitt Romney fits that bill.

John McCain infamously put his foot in his mouth when he first tried to respond to a question about whether he supported condoms as part of HIV prevention. After some garbled meanderings as reported by The New York Times, McCain became a born-again, staunch supporter of abstinence-only, saying on Christian Broadcasting Network that we must "promote abstinence as the only safe and responsible alternative. To do otherwise is to send a mixed signal to children that, on the one hand, they should not be sexually active and, but on the other, here is the way to go about it." Yep, educating young people about prevention seems a "mixed message" and actually causes them to have sex -- just like umbrellas cause rain.

Rudy Giuliani is militantly mute on sex education. Having publicly supported New York City's condom distribution program when mayor, Rudy at least has the decency to avoid "pulling a Romney."

On the Democratic front, there is not a lot to say, because the candidates are not saying much. And that, my friends, is a problem. A big problem.

All of the candidates filled out an HRC questionnaire stating they would support the REAL Act, the comprehensive sex education legislation currently in Congress.

This week, during the Planned Parenthood conference, all the Democratic candidates pledged their commitment to reversing the Bush Administration conservative approach to "abortion rights, judicial appointments, sex education and contraception." In fact, Senator Hillary Clinton promised to "devote [her] very first days in office to reversing these ideological, anti-science, anti-prevention policies."

However, neither Hillary Clinton, Barack Obama, nor Joseph Biden has signed on as a co-sponsor of the REAL Act. Christopher Dodd, a co-sponsor in 2006, has not signed on this year. In fact, the only member of Congress running for president who is a cosponsor of the REAL Act is Dennis Kucinich.

It should also be noted that in 2004, Clinton was approached to be the original Senate sponsor of the Family Life Education Act. After an initial expression of interest from her office, all Advocates for Youth received was a massive runaround from her staff. Eventually, Senator Frank Lautenberg sponsored the bill.

Well, there you have it -- a fairly uninspiring Democratic presidential candidate record on the sex education issue.

Clearly, we have got a lot of work to do to get these candidates informed, committed, and vocal on an issue that is not only critical to public health but central to the rights and respect we should afford young people in our culture.

Edwards and Biden Support Global AIDS Pledge

Global AIDS Activists are making their mark on the 2008 election by attending campaign events to ask one simple question. Will the candidates support $50 billion over 5 years to stop the global spread of AIDS?

They've posed the question to Obama and Edwards here in Washington DC. Edwards also got the question in South Carolina. The Boston Globe reports the question was recently given to John McCain in New Hampshire. The question has been asked so many times, that often you just have to say '$50 billion' and the candidates will know what you're talking about.

John Edwards and Joe Biden stand out as the only presidential candidates thus far that have committed to $50 billion over 5 years to fight the global epidemic, part of the 08stopAIDS platform. It leads one to wonder, how many more times will we have to ask the question until Obama, Clinton and the other candidates hear our voices?

Family Reminds Edwards of Health Care Concerns

When John Edwards left Charles City on Wednesday, he took a special memento with him — a photo of 10-year-old Adrian Haught.

It’s the second photo of the Nashua boy that his mother, Tami Haught, has given the Democratic presidential candidate and former North Carolina Senator. Tami was diagnosed with HIV nearly 14 years ago.

“When I gave it to him three years ago, he was talking about health care and poverty so I gave him the picture of Adrian,” she said. “I said if you ever get tired, look at the picture. It’s one of the people that you are fighting for.”

The back of the photo says, “ADAP (AIDS Drug Assistance Program) saves lives. ADAP?saves families.” Haught said she wanted to encourage Edwards to support the program that helps provide access to medication.

continue reading this article inthe Charles City Press

Needle Exchange: An Important Distinction between Obama and Clinton

Ben Smith from the Politico has a post up highlighthing an important distinction between Hillary Clinton and Barack Obama. Obama supports federal funding for needle-exchange programs to prevent; Clinton is still waffling.

We have overwhelming scientific evidence that needle-exchange programs are an effective way to reduce HIV infections among injection drug users. Even the CDC supports needle exchange (and has for several years). Most of Hillary's fellow candidates including both Obama and Edwards, have supported federal funding for needle exchange. So I'm not really sure what basis Clinton could have for her indecision, but it's an important distinction to make.

Ben writes: "Obama was quick to say at his July appearance he supports lifting the ban on federal funding for needle exchange. Clinton, by contrast, performed what King called "an interesting waffle" at her April 23 event."

read the article and see the video footage here

Barack Obama on HIV/AIDS

The following speech by Barack Obama is from the 2006 Global Summit on AIDS and the Church, World AIDS Day 2006.

I want to start by saying how blessed I feel to be a part of today and how grateful I am for your church and your pastor, my friend Rick Warren.

Ever since Rick and Kay visited Africa to see the pain and suffering wrought by AIDS, the Warrens and this church have proved each day that faith is not just something you have, it's something you do. Their decision to devote their time, their money, and their purpose-driven lives to the greatest health crisis in human history is not one that's always reported on the news or splashed across the front pages, but it is quietly becoming one of the most influential forces in the struggle against HIV and AIDS. The resources of governments may be vast, and the good works of philanthropists may be abundant, but we should never underestimate how powerful the passion of people of faith can be in eradicating this disease.

One of those passionate individuals is the man we just heard from - my friend and colleague, Sam Brownback. Now, Sam and I may not agree on every issue, but I could not be more impressed with his efforts on issues like AIDS, the crisis in the Congo, the genocide in Darfur and sexual trafficking - issues that touch some of the world's most vulnerable people. I am proud to work with him on many of these issues, and I'm proud to be by his side today.

I took my own trip to Africa a few months ago. As I'm sure Rick and Kay would agree, it's an experience that stays with you for quite some time. I visited an HIV/AIDS hospital in South Africa that was filled to capacity with people who walked hours - even days - just for the chance to seek help. I met courageous patients who refused to give up for themselves or their families. And I came across AIDS activists who meet resistance from their own government but keep on fighting anyway.

But of all that I heard, I encountered few stories as heartbreaking as the one recently told by Laurie Goering, a Chicago Tribune reporter based in Johannesburg who had covered our trip for her newspaper.

Three years ago, Laurie hired a woman named Hlengiwe Leocardia Mchunu as her nanny. Leo, as she is known, grew up as one of nine children in a small South African village. All through her life, she worked hard to raise her two kids and save every last penny she earned, and by the time Leo was hired as Laurie's nanny, she had almost finished paying off the mortgage on her home. She had even hoped to use the extra money from her new job to open a refuge for local children who had been orphaned by AIDS.

Then one day, Leo received a phone call that her eldest brother had fallen ill. At first he told everyone it was diabetes, but later, in the hospital, admitted to the family it was AIDS. He died a few days later. His wife succumbed to the disease as well. And Leo took in their three children.

Six months later, Leo got another phone call. Her younger brother had also become sick with AIDS. She cared for him and nursed him as she did her first brother, but he soon died as well.

Leo's pregnant sister was next. And then another brother. And then another brother.

She paid for their caskets and their funerals. She took in their children and paid for their schooling. She ran out of money, and she borrowed what she could. She ran out again, and she borrowed even more.

And still, the phone calls continued. All across her tiny village, Leo watched more siblings and cousins and nieces and nephews test positive for HIV. She saw neighbors lose their families. She saw a grandmother house sixteen orphaned grandchildren under her roof. And she saw some children go hungry because there was no one to care for them at all.

You know, AIDS is a story often told by numbers. 40 million infected with HIV. Nearly 4.5 million this year alone. 12 million orphans in Africa. 8,000 deaths and 6,000 new infections every single day. In some places, 90% of those with HIV do not know they have it. And we just learned that AIDS is set to become the 3rd leading cause of death worldwide in the coming years.

They are staggering, these numbers, and they help us understand the magnitude of this pandemic. But when repeated by themselves, statistics can also numb - they can hide the individual stories and tragedies and hopes of the Leos who live the daily drama of this disease.

On this World AIDS day, these are the stories that the world needs to hear. They are the stories that touch our souls - and that call us to action.

I cannot begin to imagine what it would be like if Leo's family was my own. If I had to answer those phone calls - if I had to attend those funerals. All I know is that no matter how or why my family became sick, I would be called to care for them and comfort them and do what I could to help find a cure. I know every one of you would do the same if it were your family.

Here's the thing - my faith tells me that Leo's family is my family.

We are all sick because of AIDS - and we are all tested by this crisis. It is a test not only of our willingness to respond, but of our ability to look past the artificial divisions and debates that have often shaped that response. When you go to places like Africa and you see this problem up close, you realize that it's not a question of either treatment or prevention - or even what kind of prevention - it is all of the above. It is not an issue of either science or values - it is both. Yes, there must be more money spent on this disease. But there must also be a change in hearts and minds; in cultures and attitudes. Neither philanthropist nor scientist; neither government nor church, can solve this problem on their own - AIDS must be an all-hands-on-deck effort.

Let's talk about what these efforts involve. First, if we hope to win this fight, we must stop new infections - we must do what we can to prevent people from contracting HIV in the first place.

Now, too often, the issue of prevention has been framed in either/or terms. For some, the only way to prevent the disease is for men and women to change their sexual behavior - in particular, to abstain from sexual activity outside of marriage. For others, such a prescription is unrealistic; they argue that we need to provide people with the tools they need to protect themselves from the virus, regardless of their sexual practices - in particular, by increasing the use of condoms, as well as by developing new methods, like microbicides, that women can initiate themselves to prevent transmission during sex. And in the debate surrounding how we should tackle the scourge of AIDS, we often see each side questioning the other's motives, and thereby impeding progress.

For me, this is a false argument. Let me say this - I don't think we can deny that there is a moral and spiritual component to prevention - that in too many places all over the world where AIDS is prevalent - including our own country, by the way - the relationship between men and women, between sexuality and spirituality, has broken down, and needs to be repaired.

It was striking to see this as I traveled through South Africa and Kenya. Again and again, I heard stories of men and women contracting HIV because sex was no longer part of a sacred covenant, but a mechanical physical act; because men had visited prostitutes and brought the disease home to their wives, or young girls had been subjected to rape and abuse.

These are issues of prevention we cannot walk away from. When a husband thinks it's acceptable to hide his infidelity from his wife, it's not only a sin, it's a potential death sentence. And when rape is still seen as a woman's fault and a woman's shame, but promiscuity is a man's prerogative, it is a problem of the heart that no government can solve. It is, however, a place where local ministries and churches like Saddleback can, and have, made a real difference - by providing people with a moral framework to make better choices.

Having said that, I also believe that we cannot ignore that abstinence and fidelity may too often be the ideal and not the reality - that we are dealing with flesh and blood men and women and not abstractions - and that if condoms and potentially microbicides can prevent millions of deaths, they should be made more widely available. I know that there are those who, out of sincere religious conviction, oppose such measures. And with these folks, I must respectfully but unequivocally disagree. I do not accept the notion that those who make mistakes in their lives should be given an effective death sentence. Nor am I willing to stand by and allow those who are entirely innocent - wives who, because of the culture they live in, often have no power to refuse sex with their husbands, or children who are born with the infection as a consequence of their parent's behavior -suffer when condoms or other measures would have kept them from harm.

Another area where we can make significant progress in prevention is by removing the stigma that goes along with getting tested for HIV-AIDS. The idea that in some places, nine in ten people with HIV have no idea they're infected is more than frightening - it's a ticking time bomb waiting to go off.

So we need to show people that just as there is no shame in going to the doctor for a blood test or a CAT scan or a mammogram, there is no shame in going for an HIV test. Because while there was once a time when a positive result gave little hope, today the earlier you know, the faster you can get help. My wife Michelle and I were able to take the test on our trip to Africa, after the Center for Disease Control informed us that by getting a simple 15 minute test, we may have encouraged as many as half-a-million Kenyans to get tested as well. Rick Warren has also taken the test. Sam Brownback and I took it today. And I encourage others in public life to do the same. We've got to spread the word to as many people as possible. It's time for us to set an example for others to follow.

Of course, even as we work diligently to slow the rate of new infection, we also have a responsibility to treat the 40 million people who are already living with HIV.

In some ways, this should be the easy part. Because we know what works. We know how to save people's lives. We know the medicine is out there and we know that wealthy countries can afford to do more.

That's why it was so frustrating for me to go to South Africa, and see the pain, and see the suffering, and then hear that the country's Minister of Health had promoted the use of beet root, sweet potato, and lemon juice as the best way to cure HIV. Thankfully, the South African government eventually repudiated this, but it's impossible to overestimate how important it is for political leaders like this to set a good example for their people.

We should never forget that God granted us the power to reason so that we would do His work here on Earth - so that we would use science to cure disease, and heal the sick, and save lives. And one of the miracles to come out of the AIDS pandemic is that scientists have discovered medicine that can give people with HIV a new chance at life.

We are called to give them that chance. We have made progress - in South Africa, treatment provided to pregnant women has drastically reduced the incidents of infants born with the infection. But despite such progress, only one in every five people with HIV around the world is receiving antiretroviral drug treatment. One in every five. We must do better. We should work with drug companies to reduce the costs of generic anti-retroviral drugs, and work with developing nations to help them build the health infrastructure that's necessary to get sick people treated - this means more money for hospitals and medical equipment, and more training for nurses and doctors.

We need a renewed emphasis on nutrition. Right now we're finding out that there are people who are on the drugs, who are getting treatment, who are still dying because they don't have any food to eat. This is inexcusable - especially in countries that have sufficient food supplies. So we must help get them that nutrition, and this is another place where religious organizations that have always provided food to the hungry can help a great deal.

And even as we focus on the enormous crisis in Africa, we need to remember that the problem is not in Africa alone. In the last few years, we have seen an alarming rise in infection rates in the Middle East, Southeast Asia, the former Soviet Union, Eastern Europe, and the Caribbean. And on this World AIDS day, we cannot forget the crisis occurring in our own backyard. Right here in the United States, AIDS is now the leading cause of death for African American women aged 25-34, and we are also seeing many poorer and rural communities fail to get the resources they need to deal with their vulnerable populations - a problem that unfortunately some in Congress are trying to address by taking money away from larger cities that are still facing enormous problems of their own.

Now let me say this - I think that President Bush and this past Congress should be applauded for the resources they have contributed to the fight against HIV and AIDS. Through our country's emergency plan for AIDS relief, the United States will have contributed more than $15 billion over five years to combat HIV-AIDS overseas. And the Global Fund, with money from the United States and other countries, has done some heroic work to fight this disease. As I traveled throughout Africa this summer, I was proud of the tangible impact that all this money was having, often through coordinated efforts with the Centers for Disease Control, the State Department, foreign governments, and non-governmental organizations.

So our first priority in Congress should be to reauthorize this program when it expires in 2008. Our second priority should be to reassess what's worked and what hasn't so that we're not wasting one dollar that could be saving someone's life.

But our third priority should be to actually boost our contribution to this effort. With all that is left to be done in this struggle - with all the other areas of the world that need our help - it's time for us to add at least an additional $1 billion a year in new money over the next five years to strengthen and expand the program to places like Southeast Asia, India, and Eastern Europe, where the pandemic will soon reach crisis proportions.

Of course, given all the strains that have been placed on the U.S. budget, and given the extraordinary needs that we face here at home, it may be hard to find the money. But I believe we must try. I believe it will prove to be a wise investment. The list of reasons for us to care about AIDS is long. In an interconnected, globalized world, the ability of pandemics to spread to other countries and continents has never been easier or faster than it is today. There are also security implications, as countries whose populations and economies have been ravaged by AIDS become fertile breeding grounds for civil strife and even terror.

But the reason for us to step up our efforts can't simply be instrumental. There are more fundamental reasons to care. Reasons related to our own humanity. Reasons of the soul.

Like no other illness, AIDS tests our ability to put ourselves in someone else's shoes - to empathize with the plight of our fellow man. While most would agree that the AIDS orphan or the transfusion victim or the wronged wife contracted the disease through no fault of their own, it has too often been easy for some to point to the unfaithful husband or the promiscuous youth or the gay man and say "This is your fault. You have sinned."

I don't think that's a satisfactory response. My faith reminds me that we all are sinners.

My faith also tells me that - as Pastor Rick has said - it is not a sin to be sick. My Bible tells me that when God sent his only Son to Earth, it was to heal the sick and comfort the weary; to feed the hungry and clothe the naked; to befriend the outcast and redeem those who strayed from righteousness.

Living His example is the hardest kind of faith - but it is surely the most rewarding. It is a way of life that can not only light our way as people of faith, but guide us to a new and better politics as Americans.

For in the end, we must realize that the AIDS orphan in Africa presents us with the same challenge as the gang member in South Central, or the Katrina victim in New Orleans, or the uninsured mother in North Dakota.

We can turn away from these Americans, and blame their problems on themselves, and embrace a politics that's punitive and petty, divisive and small.

Or we can embrace another tradition of politics - a tradition that has stretched from the days of our founding to the glory of the civil rights movement, a tradition based on the simple idea that we have a stake in one another - and that what binds us together is greater than what drives us apart, and that if enough people believe in the truth of that proposition and act on it, then we might not solve every problem, but we can get something meaningful done for the people with whom we share this Earth.

Let me close by returning to the story of Leo, that South African woman burdened by so much death and despair. Sometime after the death of her fifth sibling, she decided that she wasn't just going to stand idly by. She decided to call the town's first public meeting about the AIDS crisis - something that no one had even talked about, let alone met about. 200 people showed up. Some had walked for miles to get there, a few with their grandchildren on their back.

One by one, they stood up and broke their silence, and they told their stories. Stories of tragedy, and stories of hope. And when they were done, Leo rose and said, "I don't know whether we will win this war, but I'm looking for people who will stand up and face the reality. The time for sitting silently has come to an end."

Everything did not suddenly get better after that meeting, but some things did. Despite all the children she had to raise and all the sick relatives she still had to care for, Leo still decided to open the AIDS orphanage she had dreamed about so long ago. She began building a daycare center that would house one hundred orphans. And she started plans on a youth center and a soup kitchen.

I hear that part of the story and I think, if this woman who has so little, and has lost so much, can do so much good - if she can still make a way out of no way - then what are we waiting for?

Corinthians says that we are all of one spirit, and that "if one part suffers, every part suffers with it." But it also says, "if one part is honored, every part rejoices with it."

On this World AIDS day, it is the stories of overcoming, and not just illness, that the world needs to hear. Yes, the stories of sadness call us to suffer with the sick. But stories like Leo's also call us to honor her example, rejoice in the hope that it brings, and work to help her find that brighter future. Thank you, and God Bless you.

She Has the Power

Lambda Legal is calling on Secreatary of State Condoleeza Rice to bring an end to discrimination based on HIV status at the State Department. It's hard to believe, but the U.S. State Department bars people with HIV from jobs in the Foreign Service.

Join Lambda Legal and send a message to Condoleeza Right now. Simply follow this link to sign the petition. Lambda Legal will hand deliver all the petitions to Condoleeza Rice in May.

The Side Effects of Not Voting Can be Fatal

An important message from AIDSVote.org, POZ magazine, NAPWA, Housing Works, GMHC and The AIDS Institute

Join leading AIDS organizations for an important conference call on Monday to discuss what we can do between now and November 2-and in the next four years-to make sure that our votes are cast and our voices are heard. Speakers include:

* Terje Anderson, Executive Director, National Association of People with AIDS
* Gene Copello, Executive Director, The AIDS Institute
* Charles King, President and CEO, Housing Works
* Ana Oliveira, Executive Director, Gay Men's Health Crisis
* Sean Strub, Founder, POZ magazine

Continue reading "The Side Effects of Not Voting Can be Fatal"

$20 Million is Not Enough

Republicans and Democrats alike continue to try and distance themselves from the decision to go to war with Iraq. This week Republican Representative Doug Bereuter called going to war "a mistake". There seems to be a lot of "If I had known then what I know now..." going on in the beltway.

It's a shame that they didn't listen more carefully to the more than 30,000 concerned citizens who came to Washington to protest our going to war with Iraq way back in April 2003.

Among the protesters at that April 12th event, were members of ACT UP. John Riley, from ACT UP NY, addressed the crowd at the rally. The words that he said at that rally now seem prophetic:

"Huge amounts of money are going to be diverted from health and human services and put into the war budget instead."

John Riley was correct in his prediction. We desperately need money to fund ADAP (AIDS Drug Assistance Program). Not to long ago, we took it for granted that Americans in need would have access to HIV meds through the ADAP program. That is no longer the case. ADAP programs are dramatically underfunded. Many States have had to put limitations on what medications people have access to.

Even worse, right now there are 1629 Americans in need of HIV medications who can't get anthing from their state ADAP programs. They have been placed on waiting lists. We know these drugs can prolong life, enhance the quality of life and actually reduces long term costs of care. Still, 1,629 Americans aren't getting any medications through ADAP.

President Bush has proposed a $20 million dollar bail out of the ADAP Program. But sadly, it is a fraction of what is actually needed to fully fund ADAP. The reality is that more and more people are living with HIV/AIDS in this country and more and more money will be needed for this program. The AIDS Treatment Activist Coalition (ATAC) and other experts agree that well over $200 million will be needed to fund this program.

Where will $200 million come from?

At that April 12th protest in Washington, I joined with the members of ATAC as they chanted loudly "MONEY FOR AIDS, NOT FOR WAR". At the time I thought the chant was a little simplistic. Now, I just think of it as accurate. John Riley was right. President Bush continues to use his short sighted 'tax and borrow' plan to fund a war we cannot afford, while crucial health programs at home remain underfunded.

Will we start to see more and more HIV Positive Americans die while they are on waiting lists for the drugs that could save them? Many lives have been lost in Iraq. But when we tally the final body count of this war in Iraq, we will also have to include Americans who died of AIDS because there was simply no money to buy their medication.

People with AIDS Demand Justice & Healthcare

From Bangkok to Broadway, people with AIDS demand justice and health care: Thousands of AIDS activists to join 'March on New York: Still We Rise at Republican National Convention' on August 30, 2004

On the heels of protest at International AIDS Conference, AIDS activists issue call for mass participation in permitted march on the opening afternoon of the convention, from Union Square to Madison Square Garden.

Thousand of people with HIV/AIDS and their supporters are issuing a call for mass participation to join with the Still We Rise Coaltion and the Hip Hop Summit Action Network in a march on the opening day of the Republican National Convention in New York, citing the role of Federal policies on medical care, treatment access, HIV prevention, housing, immigration, welfare and criminal justice issues in determining the course of the epidemic in the US and worldwide.

Continue reading "People with AIDS Demand Justice & Healthcare"

AIDS Protests Return to DC

Hundreds of AIDS Activists came to DC to participate in an HIV/AIDS protest, the likes of which has not been seen in our Nation's Capitol for some time. read the whole article here. It includes this excellent quote from the article by POZ magazine founder Sean Strubb:

“What I pay most attention to are prevention programs and the dismantling of the most effective prevention programs that have been in place. High school students around the country are not being taught about condoms, they are being taught that condoms don’t work. That is going to start to translate into more infections."

“You have an administration that just across the board is more interested in saving souls than in saving lives.”